1 Exotic Disease Response (EDR) Training Field Team Leader

2 During this session we will cover the following processes: Organise Surveillance Teams Prepare for Surveillance Visit Conduct Surveillance Visit Evaluate and Record Surveillance Visit Evaluate and Record lab Results from Surveillance Stand Down Resources Training Agenda

Field Team Leader 3 Session Outcomes At the end of this session you should be able to: deliver briefings / debriefings to surveillance teams decide whether to escalate as a result of: Field Veterinarian report from a farm exceptions uncovered during a debrief complete visit documentation make a diagnosis after receiving lab results verify stand down requirements

Field Team Leader 4 Surveillance Process

Field Team Leader 5 The Role of a Field Team Leader in an Exotic Disease Response Managing teams (up to 7 people) Act as Interface with Field Visit Coordinator Daily briefing / debriefings Deciding whether to escalate as result of: –field visits –lab results Standing down resources

Field Team Leader 6 Escalation Path…

Field Team Leader 7 Organise Surveillance Field Teams

Field Team Leader 8 Organise Surveillance Field Teams At the end of this topic you should be able to: describe some of the key things to be aware of when delivering briefings use the SMEAC Checklist to perform the initial briefing of a surveillance team

Field Team Leader 9 Delivering Briefings Briefing should be relaxed and reasonably informal, and Brief – Only the information that they need Clear – Avoid unfamiliar technicalities, acronyms Interesting – Use examples that the group will recognise In control – Arrange the group so that you are its focus Confident – Stick to the information, relax

Field Team Leader 10 Surveillance Briefings – Key Points Are a method of getting the key information to people regularly and quickly Follow a consistent agenda Highlight Changes – especially policy Is a two way process – not just about informing people but listening and responding to questions and concerns Contain important points from training

Field Team Leader 11 Prepare for Surveillance Visit

Field Team Leader 12 Prepare for Surveillance Visit At the end of this topic you should be able to: perform daily briefing to teams on latest disease information, policy changes and issues of concern

Field Team Leader 13 Conduct Surveillance Visit – 1 of 3

Field Team Leader 14 Conduct Surveillance Visit – 2 of 3

Field Team Leader 15 Conduct Surveillance Visit – 3 of 3

Field Team Leader 16 Conduct Surveillance Visit At the end of this topic you should be able to: take the appropriate action when a Field Veterinarian reports clinical signs from a farm

Field Team Leader 17 Evaluate and Record Surveillance Visit

Field Team Leader 18 Evaluate and Record Surveillance Visit

Field Team Leader 19 At the end of this session you should be able to: conduct the surveillance debrief determine whether to escalate an exception uncovered during a surveillance visit debriefing complete the Office Use Only section of the visit documentation Evaluate and Record Surveillance Visit

Field Team Leader 20 Evaluate and Record Lab Results

Field Team Leader 21 Evaluate and Record Lab Results

Field Team Leader 22 Evaluate and Record Lab Results At the end of this session you should be able to: track the status of lab results review surveillance results recorded in IRS complete the Lab Diagnosis form

Field Team Leader 23 Lab Submission Screen

Field Team Leader 24 Place Details

Field Team Leader 25 Surveillance Task History Report

Field Team Leader 26 Sensitivity and Specificity Sensitivity (SE) Measures the ability of the test to correctly identify infected animals Specificity (SP) Measures the ability of a test to correctly identify disease free animals Predictive Value (PV ) Probability that an animal testing +ve ( +ve and –ve) (or –ve) is actually diseased (or not). Depends on SP, SE and prevalence

Field Team Leader pigs, 60 sampled SE 95%, SP 60% No clinical signs Prevalence 5%, +ve PV = 11% Prevalence 10%, +ve PV = 21% Prevalence 50%, +ve PV = 70% Example interpretation 1

Field Team Leader sheep, 60 sampled SE 95%, SP 85% No clinical signs Prevalence 5%, +ve PV = 25% Prevalence 10%, +ve PV = 41% Prevalence 50%, +ve PV = 86% Example interpretation 2

Field Team Leader 29 Stand Down Resources

Field Team Leader 30 Stand Down Resources

Field Team Leader 31 Stand Down Resources At the end of this session you should be able to: confirm: –which Veterinarians visited an infected place –which other places they have visited, and –if those visits were made during the stand down period stand down potentially infectious team members

Field Team Leader 32 Stand Down Resources Farm declared Infected Risk Period Stand Down Period 1. Determine At Risk People – who visited the Infected Place? 2. Determine At Risk Places – where have they been before and after? 3. Determine who should be stood down – has stand down period already elapsed? 4. Determine Surveillance Requirements – what risk is associated with these visits? farm visits

Field Team Leader 33 Stand Down Report

Field Team Leader 34 Stand Down Report

Field Team Leader 35 Summary During this session we covered: delivering briefings / debriefings to surveillance teams deciding whether to escalate as a result of: Field Veterinarian report from a farm exceptions uncovered during a debrief completing visit documentation making a diagnosis after receiving lab results verifying stand down requirements